[Triple arthrodesis for correction of cavovarus deformity].

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Abstract

[Indexed for MEDLINE] 18. Foot Ankle Clin. 2023 Dec;28(4):743-757. doi: 10.1016/j.fcl.2023.06.005. Epub 2023 Aug 5. Toes Deformities in Cavovarus: How to Approach Them. Piclet-Legré B(1), Darcel V(2). Author information: (1)Department of Orthopaedics, Centre du pied, La Ciotat, Marseille, France. (2)Department of Orthopaedics, Maison de Santé Protestante de Bordeaux Bagatelle, Bordeaux, France. Electronic address: v.darcel@mspb.com. Sagittal lesser toe deformities (LTD) are the most common in cavus foot. They are mainly the result of muscular imbalance between intrinsic and extrinsic muscles. Surgery is the second-line treatment if medical treatment fails. The aim of the present study was to provide an update on classification and surgical management of LTD in cavus foot including percutaneous procedures with a special focus on sagittal deformities. Joint sparing procedures are preferred for reducible LTD, whereas lesser toe fusions are used for rigid one in association with tendon transfer or percutaneous procedures depending of surgeon's experience and patient's clinical examination. Copyright © 2023 Elsevier Inc. All rights reserved. DOI: 10.1016/j.fcl.2023.06.005